Workload and management of childhood fever at general practice out-of-hours care: an observational cohort study

Objective Even though childhood fever is mostly self-limiting, children with fever constitute a considerable workload in primary care. Little is known about the number of contacts and management during general practitioners’ (GPs) out-of-hours care. We investigated all fever related telephone contac...

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Bibliographic Details
Published in:BMJ open 2015-05, Vol.5 (5), p.e007365-e007365
Main Authors: de Bont, Eefje G P M, Lepot, Julie M M, Hendrix, Dagmar A S, Loonen, Nicole, Guldemond-Hecker, Yvonne, Dinant, Geert-Jan, Cals, Jochen W L
Format: Article
Language:English
Subjects:
After-Hours Care - methods
Age
Anti-Bacterial Agents - administration & dosage
Antibiotics
Child
Child, Preschool
Children & youth
Cooperatives
Fever
Fever - diagnosis
Fever - epidemiology
Fever - therapy
General Practice
General practice / Family practice
Humans
Medical records
Medical referrals
Netherlands - epidemiology
Nurses
Parents & parenting
Practice Patterns, Physicians' - statistics & numerical data
Prescriptions
Primary care
Referral and Consultation - statistics & numerical data
Remote Consultation
Severity of Illness Index
Workload
Workloads
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Summary:Objective Even though childhood fever is mostly self-limiting, children with fever constitute a considerable workload in primary care. Little is known about the number of contacts and management during general practitioners’ (GPs) out-of-hours care. We investigated all fever related telephone contacts, consultations, antibiotic prescriptions and paediatric referrals of children during GP out-of-hours care within 1 year. Design Observational cohort study. Setting and patients We performed an observational cohort study at a large Dutch GP out-of-hours service. Children (
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2014-007365